| NPI | 1699137158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904019988) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06061600) |
| 104100000X Social Worker (Licence: NY 097286-1) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2026-02-25 |