| NPI | 1174060438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42335) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11625) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2022-07-08 |