| NPI | 1710682612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW18325) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24111) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2025-01-24 |