| NPI | 1356844799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17549) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW16029) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.019630) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2021-10-07 |