| NPI | 1700358553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098708) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-03-21 |