| NPI | 1992430573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093841) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-10-10 |