| NPI | 1437497658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079291) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2014003577) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2023-05-10 |