| NPI | 1861819187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008556) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2025-10-13 |