| NPI | 1427227784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 1290) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-03-31 |