| NPI | 1033624002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE q1-0012057) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-10-25 |