| NPI | 1316506611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW18910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7123-M) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-09-15 |