| NPI | 1578110243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24724) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50082983) |
| 104100000X Social Worker (Licence: NY 105768) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-09-13 |