| NPI | 1053899047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 094575) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW20695) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-09-05 |