| NPI | 1710597638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094204-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081605) |
| 1041C0700X Social Worker, Clinical (Licence: LA 17740) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-06-25 |