| NPI | 1548992092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906012290) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2026-07-10 |