| NPI | 1184237612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 25302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259296) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-11-12 |