| NPI | 1922982073 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2025-08-02 |
| Last Update Date | 2025-08-09 |