| NPI | 1114491123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw18305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016387) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-08-07 |