| NPI | 1255615142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW6902) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2019-11-18 |