| NPI | 1629799762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw22382) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-06-14 |