| NPI | 1255723748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW20730) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.007626) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2023-05-15 |