| NPI | 1942881081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012490) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-05-24 |