| NPI | 1265685424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW4768) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSW28987) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-12-22 |