| NPI | 1720317936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 117185) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW14431) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2022-07-21 |