| NPI | 1902413412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27188) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2026-06-01 |