| NPI | 1255405932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw4967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005629) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-09-22 |