| NPI | 1679757736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7984) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 149.006413) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010340) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-05-07 |