| NPI | 1760883912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15075) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2026-01-29 |