| NPI | 1184124919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06209200) |
| 1041C0700X Social Worker, Clinical (Licence: NC C015451) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-04-25 |