| NPI | 1891056735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018939) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-02-13 |