| NPI | 1770948143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14631) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000010648) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2022-08-01 |