| NPI | 1326289158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8493) |
| 1041C0700X Social Worker, Clinical (Licence: MD 21221) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2018-02-13 |