| NPI | 1255408837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY P063343-1) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-09-15 |