| NPI | 1093217903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002288) |
| 104100000X Social Worker (Licence: NY 095096) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-07-24 |