| NPI | 1891109740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010315) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008811) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2025-06-16 |