| NPI | 1134430028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 10570) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-07-31 |