| NPI | 1578957890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069805) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-08-20 |