| NPI | 1104220060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18912) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-01-02 |