| NPI | 1619185212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10662) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: FL 00015588) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-11-30 |