| NPI | 1720372022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7758-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12025) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2015-05-18 |