| NPI | 1730179573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005969) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-02-28 |