| NPI | 1972756740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9007) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2021-07-07 |