| NPI | 1982064234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114025) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-04-23 |