| NPI | 1437565314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16479) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 221041) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-10-18 |