| NPI | 1720473283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW 9468) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-02-10 |