| NPI | 1538726443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094591) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098165-1) |
| 1041C0700X Social Worker, Clinical (Licence: TX 109891) | |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2023-02-28 |