| NPI | 1578134029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS.0102683) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM.0104547) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-07-24 |