| NPI | 1649414251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08783) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-03-10 |