| NPI | 1609094085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 6149) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-03-03 |