| NPI | 1578684320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P062204-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3937) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2010001491) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-08-19 |