| NPI | 1902543093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017370) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2026-02-23 |