| NPI | 1922699602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16965) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-10-13 |