| NPI | 1124677661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19131) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW13900) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2022-01-07 |