| NPI | 1184185118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17975)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: SC SW12952)  | 
| Enumeration Date | 2019-03-31 | 
| Last Update Date | 2022-04-26 |