| NPI | 1962635938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9612) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078163) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2014-01-22 |