| NPI | 1174039648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10013) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-02-27 |