| NPI | 1891103834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11772) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008881) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |