| NPI | 1972919561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8054-C) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-07-20 |