| NPI | 1548636830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 13051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 6288-C) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-10-15 |