| NPI | 1306495361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 22446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 117527) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09932430) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2025-12-31 |