| NPI | 1730422155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05692900) |
| 1041C0700X Social Worker, Clinical (Licence: CA 105412) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-11-15 |