| NPI | 1275716359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R049610-1) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-03-27 |