| NPI | 1235409855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011025652) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2015-05-06 |