| NPI | 1336263508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012208) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05193200) |
| 1041C0700X Social Worker, Clinical (Licence: TX 51480) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-12-23 |