| NPI | 1134568843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081570) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-09-08 |