| NPI | 1710123096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9216) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS21587) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |