| NPI | 1134314214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: MD 10135) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011066) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-07-18 |