| NPI | 1376704023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120393) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW4552) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-10-04 |