| NPI | 1578995981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925686) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2020-10-13 |