| NPI | 1598355067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19840) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW14579) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-04-11 |