| NPI | 1427487651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085083) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11560) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-05-28 |