| NPI | 1184139198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008369) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101745) |
| 1041C0700X Social Worker, Clinical (Licence: TX 109501) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 093204) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2023-07-11 |