| NPI | 1588029607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084864-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006175) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05721900) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2021-09-21 |