| NPI | 1992466825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17985) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1970) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-11-11 |