| NPI | 1174501084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14869) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 106797) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2018-04-26 |