| NPI | 1790888709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL SW6547) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-08-16 |