| NPI | 1417032780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9887) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW3914) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-12 |