| NPI | 1013585306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25416) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09932917) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.041099) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-04-13 |