| NPI | 1679596019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005047) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-03-22 |