| NPI | 1720272719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8708) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7093) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW3843) | |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2012-08-29 |