| NPI | 1376616391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072054) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-10-12 |