| NPI | 1013737006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 31910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05905200) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020828) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61507649) | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-04-23 |