| NPI | 1952594285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R042803) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-12-05 |