| NPI | 1528834611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18178) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NC C019043) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019046) | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2026-05-28 |