| NPI | 1073613873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 09979) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904003545) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-12-04 |