| NPI | 1124302187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw14464) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084087-1) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2019-10-29 |