| NPI | 1548416472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 057603) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw8232) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-08-01 |