| NPI | 1487373452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW23161) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS.0102630) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-06-23 |