| NPI | 1679762553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 4412) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2018-07-23 |