| NPI | 1184178311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw14306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 9373) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2019-11-15 |