| NPI | 1396042602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12949) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005343) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-06-10 |