| NPI | 1427305499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11880) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW7176) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2017-02-20 |