| NPI | 1912612391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22319) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW-16543) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-11-15 |