| NPI | 1912654187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW21066) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW15567) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2023-03-30 |