| NPI | 1437395076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15765) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082835-1) |
| 101YM0800X Counselor, Mental Health (Licence: NY 077863) | |
| Enumeration Date | 2009-01-04 |
| Last Update Date | 2021-08-31 |