| NPI | 1720583883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC CO13578) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086975) |
| 104100000X Social Worker (Licence: NY 086975-1) | |
| 104100000X Social Worker (Licence: NC CO13578) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-12-19 |