| NPI | 1598736894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 055332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004837) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-28 |