| NPI | 1629270566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw2751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 41606) |
| 1041C0700X Social Worker, Clinical (Licence: SC 15301) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-03-28 |