| NPI | 1851813661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015137) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2025-10-13 |