| NPI | 1003359712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092353-01) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06563000) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 1140819) | |
| 104100000X Social Worker (Licence: CT 011631) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 24475) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018317) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2026-07-23 |