| NPI | 1972287308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083588) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |