| NPI | 1679977672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 8915) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-05-15 |