| NPI | 1013018712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 066208-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R076764-01) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-04-11 |