| NPI | 1598029977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083938) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080827) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05658700) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801096922) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2017-04-07 |