| NPI | 1659707164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010688) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090126) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2025-05-20 |