| NPI | 1912140567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW9257) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW015604) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-01-26 |