| NPI | 1831177914 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW558) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW0558) | 
| Enumeration Date | 2006-01-09 | 
| Last Update Date | 2022-09-21 |