| NPI | 1063930279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13495) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-06-21 |