| NPI | 1063415909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 054268) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-09-13 |