| NPI | 1033381322 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC50078439)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 57745)  | 
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016778)  | |
| Enumeration Date | 2008-03-27 | 
| Last Update Date | 2025-10-01 |