| NPI | 1871110155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4550C) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927368) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-05-31 |