| NPI | 1841661899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C11132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9489) |
| 1041C0700X Social Worker, Clinical (Licence: AL 5750C) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2025-05-13 |