| NPI | 1053790535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086725-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086725-01) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-08-10 |