| NPI | 1023764107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090127) |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2022-09-06 |