| NPI | 1891035630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14242) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086976) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2019-03-06 |