| NPI | 1174027916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086094) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-08-04 |