| NPI | 1780384883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW26355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 119434) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904020624) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-06-20 |