| NPI | 1679829931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 9923) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2020-12-22 |