| NPI | 1518354703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 075580) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05628200) |
| 1041C0700X Social Worker Clinical (Licence: DC LC50080266) | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |