| NPI | 1073883526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083462) |
| 104100000X Social Worker (Licence: NY 083777) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801098583) | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2024-07-06 |