| NPI | 1497880785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw18892) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113914) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-10-27 |