| NPI | 1750829800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092458) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 099441) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012487) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2024-06-29 |