| NPI | 1578918876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 009620) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW17048) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2022-03-16 |