| NPI | 1770616328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113961) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-10-29 |