| NPI | 1225540131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 11190) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2020-11-09 |