| NPI | 1083674139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 050093-IR) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R050093) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-09-16 |