| NPI | 1083165054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30276) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014732) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC2000002077) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2026-07-30 |