| NPI | 1770935116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084444-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61407523) |
| 1041C0700X Social Worker, Clinical (Licence: NY 08-4444) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-05-15 |