| NPI | 1851521181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 12670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 8430) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-12-04 |