| NPI | 1982172490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080082) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2023-04-04 |