| NPI | 1811371107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16971) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-03-02 |