| NPI | 1962736033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991160) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |