| NPI | 1699120428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SW15182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 8801) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2022-01-01 |