| NPI | 1962330001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018875) |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |