| NPI | 1548479892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 090406769) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 056891-R) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-10-13 |