| NPI | 1528546553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 12574) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-06-28 |