| NPI | 1417506924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103859) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24941) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24863) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05876200) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-07-28 |