| NPI | 1700031986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 4556) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2015-05-27 |