| NPI | 1689197311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254516) |
| 104100000X Social Worker (Licence: KY 252715) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-08-03 |