| NPI | 1780749077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26396) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076559) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-03-03 |