| NPI | 1790364602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 6471C) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-12-22 |