| NPI | 1952715468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093914) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091975-1) |
| 1041C0700X Social Worker, Clinical (Licence: LA 17827) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-05-16 |