| NPI | 1528883824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH EL33456) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 52163) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2026-03-20 |