| NPI | 1336735281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15405) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-04-24 |