| NPI | 1053476473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R20522) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2019-10-11 |