| NPI | 1366155046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW11391) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-05-28 |