| NPI | 1841657384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW 9633) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: FL ISW 9633) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |