| NPI | 1063901890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081576) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-02-16 |