| NPI | 1760872618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096167-1) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2020-01-06 |