| NPI | 1639632771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23654) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 12924) |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2025-09-02 |