| NPI | 1376824680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086236-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 109103) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013121) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06152000) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2024-10-03 |