| NPI | 1275766933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9573) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ZZ RCSW8316) | 
| Enumeration Date | 2009-08-28 | 
| Last Update Date | 2024-08-28 |