| NPI | 1427463108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14500) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2019-08-29 |