| NPI | 1053740183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080318) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC50080318) |
| 1041S0200X Social Worker, School (Licence: DC LC50080318) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2025-02-25 |