| NPI | 1598025819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 10839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004595A) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2014-07-07 |