| NPI | 1932850963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011969) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-11-02 |