| NPI | 1982205910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 14101)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: 14101)  | 
| 1041C0700X Social Worker, Clinical (Licence: 14101)  | |
| Enumeration Date | 2020-11-05 | 
| Last Update Date | 2024-10-10 |