| NPI | 1073080974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092278) |
| 1041C0700X Social Worker, Clinical (Licence: SC 17136) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-11-27 |