| NPI | 1184091001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119007) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2018-11-27 |