| NPI | 1255640116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9690) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 17835) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2012-12-12 |