| NPI | 1881914786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9895) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-10-09 |