| NPI | 1386223881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27376) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111324) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003296) | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2026-05-12 |