| NPI | 1134328727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14660) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW14660) |
| 1041C0700X Social Worker, Clinical (Licence: MD 14272) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2018-12-04 |