| NPI | 1609302603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 14112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008149) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-06-16 |