| NPI | 1245544279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06072600) |
| 1041C0700X Social Worker, Clinical (Licence: NY 082658) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 66614) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-08-18 |