| NPI | 1114662871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL TPSW1912) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 14380) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-07-11 |