| NPI | 1114190998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22741) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085173) |
| 101YM0800X Counselor, Mental Health (Licence: NY 004614) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081362) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904009980) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2018-06-27 |