| NPI | 1538575030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14572) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW8939) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2017-07-12 |