| NPI | 1134555014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16927) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 23235) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2022-08-04 |