| NPI | 1609265099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089429-1) |
| 1041C0700X Social Worker Clinical (Licence: FL SW13887) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2024-06-06 |