| NPI | 1023456886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079097-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079097) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-03-28 |