| NPI | 1225451487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15047) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 076751) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-01-19 |