| NPI | 1306130646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13207) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2010034068) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2017-05-05 |