| NPI | 1235821810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 31096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW19620) |
| 1041S0200X Social Worker, School (Licence: MD 31096) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2025-09-22 |