| NPI | 1396509204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 22789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5837C) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-12-29 |