| NPI | 1750567913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW 8844) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I-05569) |
| 1041C0700X Social Worker Clinical (Licence: CO 243) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2021-12-27 |