| NPI | 1710994157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW 7454) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929529) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-05-07 |