| NPI | 1760623037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R084633-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003541) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2021-02-08 |