| NPI | 1871974667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 094835-1) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135211) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-04-24 |