| NPI | 1013382613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3692C) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2021-04-06 |