| NPI | 1770106437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11998-C) |
| 1041C0700X Social Worker, Clinical (Licence: TX 107381) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-09-05 |