| NPI | 1013210046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW2867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20070) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2023-08-28 |