| NPI | 1740529544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64151) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088619) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05711600) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2023-04-06 |