| NPI | 1780015230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW6053) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2023-02-13 |