| NPI | 1649674995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121277) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106184) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018110) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-06-20 |