| NPI | 1063715654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016522) |
| 1041C0700X Social Worker, Clinical (Licence: NV 9207-C) | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2023-07-26 |