| NPI | 1235726068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18812) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2022-02-01 |