| NPI | 1306178322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007193) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2026-08-11 |