| NPI | 1770821951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16105) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6187) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-12-04 |