| NPI | 1649681867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8781) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2018-10-25 |