| NPI | 1144500182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61410349) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-07-28 |