| NPI | 1831864263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007080) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-03-05 |