| NPI | 1467624304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016198) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2015-08-04 |