| NPI | 1184199580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088597) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-04-21 |