| NPI | 1689912784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16148) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 085234) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2019-08-01 |