| NPI | 1891987020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 5130) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL MA 3599) |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |