| NPI | 1942627732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925872) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2019-08-12 |