| NPI | 1043457062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 21093) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009909) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2025-09-22 |