| NPI | 1710378328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15305) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW9418) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-06-08 |