| NPI | 1447303375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10934) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 888732200) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-05-10 |