| NPI | 1477893816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW11141) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA4464) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2017-01-20 |