| NPI | 1659928711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW12912) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2022-07-07 |