| NPI | 1528637907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 32530) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011406) |
| 1041C0700X Social Worker, Clinical (Licence: WI 3900-123) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-11-17 |