| NPI | 1568160109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL ISW18430) |
| Additional Taxonomies | 221700000X Art Therapist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-11-05 |