| NPI | 1578302238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW22934) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW22934) |
| 1041S0200X Social Worker School (Licence: FL SW22934) | |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |