| NPI | 1902606130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09931459) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-04-01 |