| NPI | 1962088062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014443) |
| 1041C0700X Social Worker, Clinical (Licence: NY 102476) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06383300) | |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2026-04-30 |