| NPI | 1154010486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20562) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-09-13 |