| NPI | 1336470079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL sw9721) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |