| NPI | 1043687254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 9260) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-04-27 |