| NPI | 1790114825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009599) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW3258) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2025-09-26 |