| NPI | 1700439072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012317) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: PA CW024276) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06327200) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-07-06 |