| NPI | 1003404237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20355) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW14412) |
| 1041C0700X Social Worker, Clinical (Licence: SC 14371) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-11-01 |