| NPI | 1972988764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16905) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: FL ISW8952) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-08-25 |