| NPI | 1912310491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-42256) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2025-05-26 |