| NPI | 1346885886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 19421) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 22197) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-02-04 |