| NPI | 1912130386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73-079960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 00504-C) |
| 1041C0700X Social Worker, Clinical (Licence: NV 7737-C) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2018-12-20 |