| NPI | 1154769198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R070932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL LCSW11435) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801108883) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-07-15 |