| NPI | 1023031754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 5902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 26752) |
| 104100000X Social Worker (Licence: PR 3550) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-09-12 |