| NPI | 1457308686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8741) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-07-20 |