| NPI | 1336836295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21572) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW15952) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-07-22 |