| NPI | 1487817458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 005733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9013) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-10-30 |