| NPI | 1437769585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 17074) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |