| NPI | 1346490521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C9914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6934) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-05-12 |