| NPI | 1386951135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7459448-3501) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2019-01-24 |