| NPI | 1184071540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6311) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-09-08 |