| NPI | 1831273572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6595) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1021501) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-02-02 |