| NPI | 1467637728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW21195) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 12487) |
| 1041C0700X Social Worker Clinical (Licence: NC C006092) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-05-02 |