| NPI | 1003388752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6736) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 20566) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2026-05-11 |