| NPI | 1548770241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 13228) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 3771) |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2017-10-07 |