| NPI | 1831344027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11520) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125780) |
| 1041C0700X Social Worker, Clinical (Licence: OR L5987) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-10-02 |