| NPI | 1093031627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1031910) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-04-25 |