| NPI | 1972875086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT536553) | |
| 174400000X Specialist | |
| Enumeration Date | 2012-02-04 |
| Last Update Date | 2012-02-04 |