| NPI | 1598187825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05585000) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2015-08-06 |