| NPI | 1851640593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV IC-1489) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2022-06-20 |