| NPI | 1114399938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22330) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC50077803) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2025-03-10 |