| NPI | 1386317683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 119359) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW027072) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019866) | |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2026-06-11 |