| NPI | 1417759929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20134) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50079402) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |