| NPI | 1326287145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 33841) |
| 1041C0700X Social Worker, Clinical (Licence: MS C8157) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 5855) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2015-05-03 |