| NPI | 1508225699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010788) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091318) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-12-30 |