| NPI | 1780930586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW11790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11790) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2008012852) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004330) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2018-05-21 |