| NPI | 1376844845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW17346) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079267) |
| 1041C0700X Social Worker Clinical (Licence: NC C007717) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2024-07-11 |