| NPI | 1275981508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 11414) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |