| NPI | 1376216101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0001736) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DE Q1-0001736) |
| 104100000X Social Worker (Licence: PA SW125884) | |
| 1041C0700X Social Worker Clinical (Licence: MA LICSW126804) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2025-04-28 |