| NPI | 1003570698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50078160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13189) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2026-01-12 |