| NPI | 1841409414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 10114) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0012709) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904018300) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-09-06 |