| NPI | 1912916313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 06262) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-10-06 |