| NPI | 1003500299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932148) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-09-23 |