| NPI | 1053947796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6309) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108908-01) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2026-01-22 |