| NPI | 1336612977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 16064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075955-1) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-04-22 |