| NPI | 1316353642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12921) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW09930761) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-10-08 |