| NPI | 1619551132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09931219) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2026-05-19 |