| NPI | 1053124081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-06-26 |