| NPI | 1013494764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21375) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104218) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-09-11 |