| NPI | 1982768552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P061876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4423) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135994TELE) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-09-18 |