| NPI | 1104033216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 8867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075497) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-14 |