| NPI | 1821361619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12139) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2017-03-07 |