| NPI | 1316506538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW5312) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2026-03-18 |