| NPI | 1447552195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW 10014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14773) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-04-28 |