| NPI | 1871713982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW7935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW7935) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW7935) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2018-04-09 |