| NPI | 1649707993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL Sw12121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW12121) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2024-10-21 |