| NPI | 1346645124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080154) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05520200) | |
| 1041C0700X Social Worker, Clinical (Licence: NM c-07389) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2016-11-30 |