| NPI | 1992955785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 1642) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |