| NPI | 1285600551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW4388) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW4388) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-06-17 |