| NPI | 1548842305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012753) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-02-02 |