| NPI | 1649696535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12168) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL PSW 918) |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2019-01-21 |