| NPI | 1306369145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106147) |
| 104100000X Social Worker (Licence: NJ 44SL06282700) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-07-17 |