| NPI | 1235280322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 5291) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-06-21 |