| NPI | 1386627289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17704) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019410) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-04-27 |