| NPI | 1871724682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076843-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 107226) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06058900) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 118628) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 5169C) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-05-19 |