| NPI | 1407894017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16112) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9952) |
| 1041C0700X Social Worker, Clinical (Licence: MA 113570) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-01-08 |