| NPI | 1558979419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW18005) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 11094) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-03-22 |