| NPI | 1912100249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015643) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2010-02-09 |