| NPI | 1164058517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010840) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006987) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |