| NPI | 1598207508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L1409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL lSW11187) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15785) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-05-02 |