| NPI | 1316247505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW9842) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW9842) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2016-09-14 |