| NPI | 1033305982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079283) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 075276-1) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-10-10 |