| NPI | 1235696550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW1149) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-10-13 |