| NPI | 1467506238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12930) |
| 1041S0200X Social Worker, School (Licence: FL DOE883531) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-04-25 |