| NPI | 1265542278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 11507) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-25 |