| NPI | 1255759643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW21585) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW131318) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2025-08-14 |