| NPI | 1790119105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11467) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 127435) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013789) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 14195872-3501) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2025-03-21 |