| NPI | 1780064394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17096) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW9793) |
| 1041S0200X Social Worker, School (Licence: FL 1282042) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-05-23 |