| NPI | 1558087965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH EL33384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108910) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2026-03-23 |