| NPI | 1164841664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-79896) |
| 1041C0700X Social Worker, Clinical (Licence: MA 118201) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001367) | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2025-08-18 |