| NPI | 1851390074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA 2644) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW0003933) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-01-13 |