| NPI | 1245697127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15656) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 121009) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2024-02-22 |