| NPI | 1902217326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25358) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011839) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2026-01-05 |