| NPI | 1073882098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082634-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW210004) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2023-06-14 |