| NPI | 1992357941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW13749) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-03-14 |