| NPI | 1457725939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7909) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06289900) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2025-01-16 |