| NPI | 1518305028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135201) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05767100) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 092563) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61541452) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2024-08-07 |