| NPI | 1932453636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3700C-1210) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2022-11-17 |