| NPI | 1033508445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083247-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079883-1) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-10-13 |