| NPI | 1124509856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-10613) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-11-16 |