| NPI | 1235204728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw9590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6951) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34000188A) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-05-29 |