| NPI | 1366882144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14211) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 055017-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 084905-01) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2026-05-29 |