| NPI | 1265587646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11872) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-06-17 |