| NPI | 1508014325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 1200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2254-C) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 9132) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2011-03-18 |