| NPI | 1770235418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI 4590) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL TPSW3806) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-03-06 |