| NPI | 1083463525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 12453-C) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |