| NPI | 1902925605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 07254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05284700) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904000898) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 04982) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-11-12 |