| NPI | 1194040170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007657) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2021-06-02 |