| NPI | 1588912125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 2562) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-01-27 |