| NPI | 1033447099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 21386) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW 9143) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2023-10-06 |