| NPI | 1649868316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081287) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-07-05 |