| NPI | 1639572613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092890) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-03-08 |