| NPI | 1932841269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19729) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024678) | 
| 1041C0700X Social Worker, Clinical (Licence: TX 112881) | |
| Enumeration Date | 2022-04-07 | 
| Last Update Date | 2024-05-07 |