| NPI | 1508279563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW7412) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-07-28 |