| NPI | 1760561138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9029-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069316-1) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2025-05-22 |