| NPI | 1255889952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 27155) |
| 1041C0700X Social Worker, Clinical (Licence: FL 17850) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-06-27 |