| NPI | 1679860050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108982) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05469000) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-06-16 |