| NPI | 1891085304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18562) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 16208) |
| 1041C0700X Social Worker, Clinical (Licence: MD 16208) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2024-03-05 |