| NPI | 1962925511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20825) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-06-17 |