| NPI | 1134459266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15357) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW4062) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2022-10-10 |