| NPI | 1952626467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW6425) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077274) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2016-03-22 |