| NPI | 1780907931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077074) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2025-01-20 |