| NPI | 1194528067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 17646) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121344) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C017539) | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |