| NPI | 1467042457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17629) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |