| NPI | 1770067274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086017) |
| 1041C0700X Social Worker, Clinical (Licence: CA 108725) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 29951) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06095500) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-08-25 |