| NPI | 1912685223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29205) |
| 1041C0700X Social Worker, Clinical (Licence: OK 8279) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |