| NPI | 1811676802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20831) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929423) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |