| NPI | 1043857675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095768) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008984) |
| 104100000X Social Worker (Licence: NY 105044) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-10-29 |