| NPI | 1346917390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097391) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098925-1) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06363600) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LISCW1120117) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-01-09 |