| NPI | 1407329253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 11526) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2022-02-23 |