| NPI | 1174005078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13565) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-08 |