| NPI | 1134408354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10074) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW 10074) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-04-08 |