| NPI | 1205156809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69298) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071865-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 088747) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2021-01-23 |