| NPI | 1336674555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS-0102808) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM.0104997) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2026-03-01 |