| NPI | 1982188553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12389-C) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-06-06 |