| NPI | 1194615484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW25050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019901) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2026-02-10 |