| NPI | 1417466533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084645) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05978300) |
| 1041C0700X Social Worker, Clinical (Licence: MA 000123941) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C016962) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2025-04-28 |