| NPI | 1497941819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8317) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2012-04-26 |