| NPI | 1861976987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 105606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04671600) |
| 1041C0700X Social Worker, Clinical (Licence: NY 066463-1) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |