| NPI | 1306904701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1363C) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-12-05 |