| NPI | 1932253143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005374) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-10-02 |