| NPI | 1164841664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW14965) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 118201) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2019-09-11 |