| NPI | 1780250753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22989) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW17254) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-12-05 |