| NPI | 1962785550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C10489) |
| 1041C0700X Social Worker, Clinical (Licence: AR 11585-C) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082817) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 09040313703) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2025-11-05 |