| NPI | 1548259534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003306) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10370) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2017-01-17 |