| NPI | 1508414590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20209) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2023-11-10 |