| NPI | 1417134446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9453) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW 781) |
| 1041C0700X Social Worker Clinical (Licence: CA LCSW71291) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2016-05-27 |