| NPI | 1669927653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW17488) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: SW17488) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-03-06 |