| NPI | 1578178901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26320) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 26320) |
| 104100000X Social Worker (Licence: VA 0904019733) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2026-02-16 |