| NPI | 1083983357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R081354-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082166-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 081354-1) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2021-07-23 |