| NPI | 1871115634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003835) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-04-15 |