| NPI | 1942713573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17972) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081446) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-04-01 |