| NPI | 1063424703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C000609) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2016-05-04 |