| NPI | 1588967780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW6381) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2020-08-17 |