| NPI | 1215295027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21131) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL SW10713) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 10713) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2016-05-03 |