| NPI | 1396803094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 063174-1) |
| 1041C0700X Social Worker, Clinical (Licence: CO 099255233) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-05-25 |