| NPI | 1962267153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06927900) |
| 104100000X Social Worker (Licence: NY 119196) | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-07-22 |