| NPI | 1932793965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16859) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2022-09-28 |