| NPI | 1366899627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15553) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW10246) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-07-18 |