| NPI | 1568015915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW17838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW11959) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-06-26 |