| NPI | 1609538909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34352) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2025-09-03 |