| NPI | 1255459293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cw015158) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-10-26 |