| NPI | 1982586673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P023167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 16054) |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2026-01-16 |