| NPI | 1205339363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15150) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15150) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |