| NPI | 1821776568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 34631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00947289) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2026-06-04 |