| NPI | 1053905828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 23266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 012673) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-10-22 |