| NPI | 1598239139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW17624) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW11062) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-02-02 |