| NPI | 1407115165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 058012) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2025-06-11 |