| NPI | 1568917458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4316C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW 9018) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2021-06-13 |