| NPI | 1255064051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011498) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW15044) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-01-17 |