| NPI | 1023721321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06149200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13792) |
| 1041C0700X Social Worker, Clinical (Licence: OR L15086) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW.61519209) | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-04-19 |