| NPI | 1346485174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW15810) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY R080799-01) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2023-10-18 |