| NPI | 1760422166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY Ro59786) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-05-24 |