| NPI | 1255689469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12013) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 6691) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2015-10-22 |