| NPI | 1639417702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 218482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 12609) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2016-12-14 |