| NPI | 1578654489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 1041) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-12-16 |