| NPI | 1952493801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL LCSW11537) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW22279) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-09-30 |