| NPI | 1487437109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121136) |
| 1041C0700X Social Worker, Clinical (Licence: UT 141733973501) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-06-05 |