| NPI | 1215581939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15310) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2021-04-07 |