| NPI | 1083681142 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW1969)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 2424B)  | 
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004164)  | |
| Enumeration Date | 2006-03-07 | 
| Last Update Date | 2012-07-13 |