| NPI | 1750403127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC .13898) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS 24722) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-07-11 |