| NPI | 1336784768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17098) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 17098) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087074) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-06-10 |