| NPI | 1629441068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009217) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 13810) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2022-07-11 |