| NPI | 1265735666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008741) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW9099) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-03-17 |