| NPI | 1891943809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05371900) |
| 104100000X Social Worker (Licence: NY 068577) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50078687) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2015-07-09 |