| NPI | 1932654829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 10031) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2023-02-13 |