| NPI | 1336122464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 4347) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-09-01 |