| NPI | 1386711026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20191) |
| 1041C0700X Social Worker, Clinical (Licence: CT 9693) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-05-08 |