| NPI | 1629516075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC PO11374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW04378) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2026-06-19 |