| NPI | 1356648950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW5763) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2014-09-03 |