| NPI | 1689086225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22987) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-6303T) |
| 1041C0700X Social Worker, Clinical (Licence: KS 5030) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2025-01-06 |