| NPI | 1083274708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018104) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009579) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 14834) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-12-20 |