| NPI | 1619335809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 952) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018072) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140543) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-03-22 |