| NPI | 1720735038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 22784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 18221) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2025-04-10 |