| NPI | 1215309240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003099) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW23710) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2025-04-21 |