| NPI | 1770662389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 066058) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-06-24 |