| NPI | 1700961638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73077188) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-01-02 |