| NPI | 1720322589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L5221) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 9696) | |
| Enumeration Date | 2012-11-18 |
| Last Update Date | 2024-04-15 |