| NPI | 1609288513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL isw7406) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2015-08-31 |