| NPI | 1659706018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096492-1) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2020-05-20 |