| NPI | 1639349582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD G12541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082372) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2025-03-13 |