| NPI | 1275776007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014004) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014647) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2023-05-05 |