| NPI | 1184067530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW7814) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-02-27 |