| NPI | 1962191148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW04832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW027383) |
| 104100000X Social Worker (Licence: NJ 44SC05987000) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2026-05-28 |