| NPI | 1841773033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 113935) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928717) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06153900) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-03-05 |