| NPI | 1003538588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISE15461) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-07-07 |