| NPI | 1558842070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17568) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013176) | 
| 1041C0700X Social Worker, Clinical (Licence: NC P011589) | |
| Enumeration Date | 2018-08-23 | 
| Last Update Date | 2022-10-21 |