| NPI | 1942830526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06385800) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.021631) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2025-10-01 |