| NPI | 1194724781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 3491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 6052) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |