| NPI | 1851059885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P016769) |
| 1041C0700X Social Worker, Clinical (Licence: SC 18201) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-09-02 |