| NPI | 1578857405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW9426) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |