| NPI | 1851649586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10461) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2024-01-02 |