| NPI | 1336783166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014139) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-09-06 |