| NPI | 1114393402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW8391) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-12-05 |