| NPI | 1821703125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW15701) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-07-13 |