| NPI | 1407109853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13033) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL B260512878050) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2016-01-04 |