| NPI | 1285108043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32511) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06164100) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015415) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200002524) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2026-02-12 |