| NPI | 1144661562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087692) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06136900) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 109489) | |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2024-01-10 |