| NPI | 1033304670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW8001) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904001689) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-12-01 |