| NPI | 1063422905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5970C) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904018451) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 099154) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-18 |