| NPI | 1609679935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 0904017415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22923) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-05-13 |