| NPI | 1235524067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 12648) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-04-02 |