| NPI | 1952807109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 103299) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06222500) | |
| 1041C0700X Social Worker, Clinical (Licence: FL tpsw2215) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-10-15 |