| NPI | 1003135757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001727) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078918) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2024-06-04 |