| NPI | 1649667767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14009234-3501) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-08-05 |