| NPI | 1265789697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082224) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2022-09-21 |