| NPI | 1932500535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13928) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 73-079587) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2016-11-16 |