| NPI | 1134610181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 051257) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2024-04-02 |