| NPI | 1871858167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12738) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-04-19 |