| NPI | 1427392588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11101) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-12-20 |