| NPI | 1588923908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12382) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005452) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2014-12-15 |