| NPI | 1114315926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18398) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091293-1) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2022-01-27 |