| NPI | 1417213950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10664) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: FL SW 10664) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |