| NPI | 1780985515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 073226) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2023-09-26 |