| NPI | 1235319807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080153-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4912) |
| 1041C0700X Social Worker, Clinical (Licence: LA 5800) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC10211) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05516300) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2015-03-21 |