| NPI | 1063050391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23464) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-11-04 |