| NPI | 1710206404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY SW 347) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |