| NPI | 1174832273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13110) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 19981) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2015-11-06 |