| NPI | 1154885101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL 15885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW20808) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2022-11-14 |