| NPI | 1790174092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18302) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-04-15 |