| NPI | 1831569235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13093) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 9156) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-02-22 |