| NPI | 1962944611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001457) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-12-11 |