| NPI | 1033580972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088418) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092577-1) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2020-07-29 |