| NPI | 1174652804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW11505) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 2411-C) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-11-18 |