| NPI | 1265125009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30026) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |