| NPI | 1205355807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4755) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101643) |
| 104100000X Social Worker (Licence: HI LSW-2562) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-12-27 |