| NPI | 1801173620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C0007222) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |