| NPI | 1356981740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20658) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 20658) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-05-02 |