| NPI | 1831863307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011484) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-10-07 |