| NPI | 1356048896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW22757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL 14490) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-05-20 |