| NPI | 1619185212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW10662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082593) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-09-18 |