| NPI | 1508012832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 10609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 5485) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2014-12-09 |