| NPI | 1811372592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0876401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018441) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05828000) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2019-04-17 |