| NPI | 1679003099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC200003614) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087822) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904017420) | |
| 1041C0700X Social Worker Clinical (Licence: NY 091378) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-08-18 |