| NPI | 1932419405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009040) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 054239) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-01-29 |