| NPI | 1831365725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106073) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 072181) |
| 1041C0700X Social Worker, Clinical (Licence: NY 076709) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-03-03 |