| NPI | 1104648476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019274) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142581) | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-04-21 |