| NPI | 1295178408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16440) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 081869-1) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-11-12 |