| NPI | 1144910340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25897) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256572) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2026-01-04 |