| NPI | 1043306657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC CO13781) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05344900) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44S105342500) | |
| 1041C0700X Social Worker Clinical (Licence: FL 14585) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-03-04 |