| NPI | 1164918249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011252) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-07-31 |