| NPI | 1023040250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 076120) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-09-04 |