| NPI | 1639385610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 10317) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 1717) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-04-20 |