| NPI | 1639550205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS101081) |
| 104100000X Social Worker (Licence: FL CBHCM100426) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-06-17 |