| NPI | 1245815927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 111544) |
| 1041C0700X Social Worker, Clinical (Licence: TX 63887) | |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2023-05-21 |