| NPI | 1851745889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127250) |
| 1041C0700X Social Worker, Clinical (Licence: MI LMSW6801119495) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200002874) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2026-02-23 |