| NPI | 1326556226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16684)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW11832)  | 
| Enumeration Date | 2018-01-14 | 
| Last Update Date | 2019-10-25 |