| NPI | 1376805531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085031-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 084088) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2019-10-04 |