| NPI | 1831560481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15117) |
| 1041C0700X Social Worker, Clinical (Licence: NY R047782-1) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-03-03 |