| NPI | 1023474327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0088733) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: NC P009961) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2023-07-03 |