| NPI | 1861056905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093445-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931078) |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1728) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2026-01-31 |