| NPI | 1144572108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 22881) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2025-08-28 |