| NPI | 1760662662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO SW 108) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2011-10-11 |