| NPI | 1174176614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW18752) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW13740) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-02-01 |