| NPI | 1730892449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC22402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05977400) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW3194) | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-10-27 |