| NPI | 1255089439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18359) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200004141) | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2026-07-24 |