| NPI | 1528462157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 012163) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2019-12-17 |