| NPI | 1992139331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18046) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089294) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-02-19 |