| NPI | 1215449285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 18776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9812989-3501) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2022-07-18 |