| NPI | 1609234418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 12875) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2020-01-14 |