| NPI | 1467725648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW10711) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW10711) |
| 1041S0200X Social Worker School (Licence: FL SW10711) | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-12-18 |