| NPI | 1649667767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME 24248) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14009234-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 1120591) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2026-02-18 |