| NPI | 1871213231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17843) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C10262) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-08-13 |