| NPI | 1396759874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14331) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016161) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-11-03 |