| NPI | 1851743686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0811261) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2026-02-13 |