| NPI | 1245635689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP02943721) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2024-05-13 |