| NPI | 1295266674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R053958-1) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |