| NPI | 1518365618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW8008) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW13810) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2021-06-30 |