| NPI | 1912181132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY NY0829552) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2021-06-07 |