| NPI | 1679639124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 9079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 003334) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-12-08 |