| NPI | 1558490318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 067431) |
| 104100000X Social Worker (Licence: NC B000617) | |
| 1041C0700X Social Worker Clinical (Licence: NC P003932) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-04-20 |