| NPI | 1306542550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071108-1) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |