| NPI | 1235606211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15792) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09926038) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 32946) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-10-24 |