| NPI | 1043622194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW 8062) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 33717) |
| 1041C0700X Social Worker, Clinical (Licence: TX 58357) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12856) | |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2021-05-26 |