| NPI | 1831874346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018871) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC P018871) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-10-15 |