| NPI | 1679907851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008308) |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2026-03-19 |