| NPI | 1659814812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 18420) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097368) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2022-03-01 |