| NPI | 1972234649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0137088) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21940) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2026-05-06 |