| NPI | 1598456055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013909) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-08-10 |