| NPI | 1477038958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081319) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081146-1) |
| 104100000X Social Worker (Licence: PA SW133993) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 117479-SW-LICSW) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |