| NPI | 1962234823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW006601) |
| 1041C0700X Social Worker Clinical (Licence: NY 079516) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |