| NPI | 1477576742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10379) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW00714) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-12-12 |