| NPI | 1417349531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 9367) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2021-12-27 |