| NPI | 1962008540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003922) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2025-08-19 |