| NPI | 1518268291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 9923004) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2019-10-25 |