| NPI | 1336566918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12971) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087343) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2024-02-07 |