| NPI | 1215389838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 10811) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2018-09-11 |