| NPI | 1407842503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 1921) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-02-19 |