| NPI | 1417198821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005678A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11362) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2019-10-09 |