| NPI | 1033607346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09925011) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |