| NPI | 1164317830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 24910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 134002) |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2026-06-17 |