| NPI | 1942775895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8612-C) |
| 1041C0700X Social Worker, Clinical (Licence: MD 27092) | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2025-03-20 |