| NPI | 1891293692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15083SW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15083) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |