| NPI | 1174939144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9650) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-09-27 |