| NPI | 1992298202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13811) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12822) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-03-03 |