| NPI | 1790991214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7416) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: FL SW7416) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-03-08 |