| NPI | 1457159691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025005431) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025927) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140622) | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-08-13 |